目的:探讨复视的病因及临床特点。方法:对复视患者45例进行视力、眼位、眼球运动及复视检查,并进行血液生化和影像学检查,分析复视的发病原因。结果:复视患者45例中单眼复视3例(7%),双眼复视42例(93%)。其中伴眼肌运动障碍的双眼复视40例,病因包括:神经源性29例(64%)(其中脑血栓12例,脑出血7例,颅内肿瘤4例,流感3例,颅内血管瘤1例,颅脑外伤1例,鼻咽癌1例),肌源性3例(7%),神经肌肉接头处病变1例(2%),机械性5例(11%),原因不明2例(4%)。结论:本组患者复视的主要病因为脑血管病,脑肿瘤和眶壁骨折。

·AIM:To explore the etiology,clinical features of diplopia.·METHODS:Visual acuity,eye movement and diplopia of 45 patients with diplopia were examined,and blood biochemical examination and image diagnosis were performed to analyzed the cause of diplopia.·RESULTS:Among 45 patients with diplopia,monocular diplopia was in 3 cases(7%),42 cases with binocular diplopia accounted for 93%.Among binocular diplopia,29 cases was neurogenic 64%,of whith 12 cases was cerebral thrombosis,cerebral hemorrh-age in 7 cases,intracranial vascular tumor was in 1 case,4 cases of intracranial tumors,1 case of traumatic brain injury,nasopharyngeal carcinoma was in 1 case,3 cases of flu.3 cases of muscle-derived Graves disease accounted for 7%;neuromuscular junction lesions was in 1 case(2%),machinery was in 5 cases(11%),2 cases of unknown cause accounted for(4%).·CONCLUSION:The main casuses of diplopia were cerebrovascular disease,trauma and brain tumor.·

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